26D1061170 CLIA NUMBER - IRON COUNTY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 26D1061170

Facility Name: IRON COUNTY MEDICAL CENTER

Facility Address:
301 N HWY 21
PILOT KNOB, MO
ZIP 63663
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Facility Phone Number: 573 546-1260

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1477648178

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	26D1061170
LAB Type	Hospital
Facility Name	IRON COUNTY MEDICAL CENTER
Street	301 N HWY 21
City	PILOT KNOB
State	MO
ZIP	63663
Phone	573 546-1260
CertificateType	2
CertificateEffectiveDate	4/16/2023
CertificateExpirationDate	4/15/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024